首页|Cox健康行为互动模式对COPD稳定期患者肺康复的影响研究

Cox健康行为互动模式对COPD稳定期患者肺康复的影响研究

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目的 探讨Cox健康行为互动模式对慢性阻塞性肺疾病(COPD)稳定期患者肺康复的影响。方法 选取2023年1-10月在该院呼吸内科就诊的COPD患者90例,按随机数字表法分为干预组和对照组,各45例。对照组患者给予常规肺康复护理,干预组患者在此基础上实施Cox健康行为互动模式的肺康复护理,比较2组患者的肺康复指标[第1秒用力呼气容积(FEV1)、第1秒用力呼气容积占预计值百分比(FEV1%)、FEV1/用力肺活量(FVC)]、运动功能(6 min步行距离)、生活质量[COPD评估测试(CAT)]和出院后肺康复运动依从性。结果 干预后,干预组患者FEV1、FEV1%、FEV1/FVC较对照组明显升高,6 min步行距离较对照组明显延长,CAT评分较对照组明显降低,出院后康复运动依从性较对照组明显提高,差异均有统计学意义(P<0。05)。结论 基于Cox健康行为互动模式的肺康复护理有助于提高COPD患者的肺功能,增强其运动能力和生活质量,改善其肺康复运动依从性。
Study on the impact of Cox s interactive model of health behavior on lung rehabilitation in patients with stable chronic obstructive pulmonary disease
Objective To explore the impact of Cox's Interactive Model of Health Behavior on lung re-habilitation in patients with stable chronic obstructive pulmonary disease(COPD).Methods A total of 90 COPD patients admitted to the respiratory department of our hospital from January to October 2023 were se-lected and randomly divided into an intervention group and a control group,with 45 patients in each.The con-trol group received routine lung rehabilitation nursing,while the intervention group received lung rehabilita-tion nursing based on Cox's Interactive Model of Health Behavior.The lung rehabilitation indicators[forced expiratory volume in one second(FEV,),percentage of FEV1 to the predicted value(FEV1% ),FEV1/forced vital capacity(FVC)],exercise function(6-minute walk distance),quality of life[COPD Assessment Test(CAT)],and adherence to lung rehabilitation exercise after discharge were compared between the two groups.Results Aft er the intervention,the FEV1,FEV1%,and FEV1/FVC in the intervention group were signifi-cantly higher than those in the control group,the 6-minute walk distance was significantly longer,the CAT score was significantly lower,and the adherence to rehabilitation exercise after discharge was significantly im-proved,with statistically significant differences(P<0.05).Conclusion Lung rehabilitation nursing based on Cox's Interactive Model of Health Behavior helps improve lung function,enhance exercise capacity and quality of life,and improve adherence to lung rehabilitation exercise in COPD patients.

Cox's interactive model of health behaviorChronic obstructive pulmonary diseaseLung rehabilitationExercise adherenceNursing

江慧凌、李洲、周萍萍

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福建省立医院47区中医科,福建 福州 350001

Cox健康行为互动模式 慢性阻塞性肺疾病 肺康复 运动依从性 护理

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(24)